Individual
MONIQUE LOUISA WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
12 GABRIEL DR, BRONX, NY 10469-5647
(917) 518-1216
Mailing address
12 GABRIEL DR, BRONX, NY 10469-5647
(917) 518-1216
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
466069
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
466069
NY
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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